Skip to main content

Anemia of Infection

  • Chapter
  • 293 Accesses

Abstract

Infections, particularly chronic infections, are frequently associated with anemia. Bacterial infections or conditions associated with severe sepsis may produce a fairly severe anemia of rapid onset, but the anemia of chronic disorders is usually not severe or progressive (Cartwright, 1966; Cartwright and Lee, 1971). In general, it is normochromic or slightly hypochromic, the PCV is seldom less than 30%, and the mean hemoglobin concentration of the red cells usually ranges between 28 and 32%. Hypochromia of the degree seen in iron-deficiency disease is unusual. Anisocytosis and poikilocytosis are not conspicuous, and signs of bone marrow regeneration such as polychromatophilia or the presence of nucleated red cells in the blood are absent. The number of reticulocytes is diminished or normal (Cartwright et al., 1946, 1951, 1954). An increased reticulocyte count is exceptional.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Bibliography

  • Andersson, N. S. E.: Acta med. scand. Suppl. 241 (1950).

    Google Scholar 

  • Bainton, D. F., Finch, C. A.: The diagnosis of iron deficiency anemia. Amer. J. Med. 37, 62 (1964).

    Article  PubMed  CAS  Google Scholar 

  • Beresford, C. H. et al.: Iron absorption and pyrexia. Lancet 2, 568 (1971).

    Article  Google Scholar 

  • Bessis, M. C., Breton-Gorius, J.: Iron metabolism in the bone marrow as seen by electron microscopy: A critical review. Blood 19, 635 (1962).

    CAS  Google Scholar 

  • Bessis, M., Breton-Gorius, J. (1962), cit. Heilmeyer, 1964.

    Google Scholar 

  • Besta, B., Valenti, S.: L’anemia tubercolare: patogenesi, clinica e terapia. Minerva Med. 1037 (1955).

    Google Scholar 

  • Brøchner-Mortensen, K., Stein, K. S.: Serumeisen bei akuten und chronischen Infektionen. Nord. med. 235 (1942).

    Google Scholar 

  • Brown, E. B., Moore, C. V.: Parenterally administered iron in the treatment of hypochromic anemia. In: Tocantins, L. M. (ed.): Progress in Hematology, Vol. 1. Grune and Stratton, New York 1956.

    Google Scholar 

  • Bullen, J. J. et al.: Iron-binding proteins and infection. Brit. J. Haemat. 23, 389 (1972).

    Article  PubMed  CAS  Google Scholar 

  • Campbell, B. C. et al.: Haem biosynthesis in rheumatoid disease. Brit. J. Haemat. 40, 563 (1978).

    Article  PubMed  CAS  Google Scholar 

  • Cartwright, G. E.: The anemia of chronic disorders. Semin. hemat. 3, 351 (1966).

    PubMed  CAS  Google Scholar 

  • Cartwright, G. E, Lee, G. R.: The anemia of chronic disorders. Brit. J. Haemat. 21, 147 (1971).

    Article  PubMed  CAS  Google Scholar 

  • Cartwright, G. E., Wintrobe, M. M.: Chemical, clinical and immunological studies on the products of human plasma fractionation. XXXIX. The anemia of infection. Studies on the iron-binding capacity of serum. J. clin. Invest. 28, 86 (1949).

    Article  CAS  Google Scholar 

  • Cartwright, G. E., Wintrobe, M. M.: The anemia of infection. XVII. A review. Advances in Internal Medicine. Vol. 5, p. 165. Year Book Publishers, Chicago 1952.

    Google Scholar 

  • Cartwright, G. E., Gubler, C. J., Wintrobe, M. M.: Studies on copper metabolism. XL J. clin. Invest. 33, 685 (1954).

    Article  PubMed  CAS  Google Scholar 

  • Cartwright, G. E., Hamilton, L. D., Gubler, C. J., Fellows, V. M., Ashenbrucker, H., Wintrobe, M. M.: The anemia of infection. XIII. Studies on experimentally produced acute hypoferremia in dogs and the relationship of the adrenal cortex to hypoferremia. J. clin. Invest. 30, 161 (1951).

    Article  PubMed  CAS  Google Scholar 

  • Cartwright, G. E., Lauritzen, M. A., Humphreys, S. R., Jones, P. J., Merrill, J. M., Wintrobe, M. M.: The anemia associated with chronic infection. Science 103, 72 (1946).

    Article  Google Scholar 

  • Coleman, D. H., Stevens, A. R., Finch, C. A.: The treatment of iron deficiency anemia. Blood 10, 567 (1955).

    PubMed  CAS  Google Scholar 

  • Crowley, J.: Iron absorption tests in anaemia: use of intravenous iron preparations. Edinb. med. J. 59, 478 (1952).

    Google Scholar 

  • Dinant, H. J., de Maat, C. E. M.: Erythropoiesis and mean red-cell lifespan in normal subjects and in patients with the anaemia of acute rheumatoid arthritis. Brit. J. Haemat. 39, 437 (1978).

    Article  PubMed  CAS  Google Scholar 

  • Douglas, S. W., Adamson, J. W.: The anemia of chronic disorders. Studies of marrow regulation and iron metabolism. Blood 45, 55 (1975).

    PubMed  CAS  Google Scholar 

  • Elin, R. J., Wolff, S. M., Finch, C. A.: Effect of induced fever on serum iron and ferritin concentrations in man. Blood 49, 147 (1977).

    PubMed  CAS  Google Scholar 

  • Engel, M.: Klinische Erfahrungen mit dem intravenös injizierten Ferronascin “Roche”. Schweiz, med. Wschr. 76, 1079 (1946).

    Google Scholar 

  • Fillet, G. et al.: Storage iron kinetics. VII. A biological model for reticuloendothelial iron transport. J. clin. Invest. 53, 1527 (1974).

    Article  PubMed  CAS  Google Scholar 

  • Freireich, E. J., Ross, J. F., Bayles, T. B., Emerson, D. P., Finch, S. C.: Radioactive iron metabolism and erythrocyte survival studies of the mechanisms of the anaemia associated with rheumatoid arthritis. J. clin. Invest. 36, 1043 (1951).

    Article  Google Scholar 

  • Freireich, E. J. et al.: The effect of inflammation on the utilization of erythrocyte and transferrin-bound radio-iron for red cell production. Blood 12, 972 (1957).

    PubMed  CAS  Google Scholar 

  • Greif, S.: Hochdosierte parenterale Eisentherapie. Wien. klin. Wschr. 62, 145 (1950).

    CAS  Google Scholar 

  • Gutnisky, A., van Dyke, D.: Normal response to erythropoietin or hypoxia in rats made anemic with turpentine abscess. Proc. Soc. exp. Biol. Med. 112, 75 (1963).

    PubMed  CAS  Google Scholar 

  • Hagberg, B.: Studies on the plasma transport of iron. Uppsala 1953.

    Google Scholar 

  • Handjani, A. M. et al.: Serum iron in acute myocardial infarction. Blut 23, 363 (1971).

    Article  PubMed  CAS  Google Scholar 

  • Haurani, F. J., Young, K., Tocantins, L. M.: Reutihzation of iron in anemia complicating malignant neoplasms. Blood 22, 73 (1963)

    PubMed  CAS  Google Scholar 

  • Haurani, F. J., Young, K., Tocantins, L. M.: Reutihzation of iron in anemia complicating malignant neoplasms. J. Lab. clin. Med. 65, 560 (1965)

    PubMed  CAS  Google Scholar 

  • Haurani, F. J., Young, K., Tocantins, L. M.: Reutihzation of iron in anemia complicating malignant neoplasms. Amer. J. med. Sci. 249, 537 (1965).

    Article  PubMed  CAS  Google Scholar 

  • Heilmeyer, L.: Die Störungen der Bluthämsynthese. Thieme, Stuttgart 1964.

    Google Scholar 

  • Heilmeyer, L.: Die Hypochromanämien. In: Heilmeyer, L., Begemann, H. (eds.): Blut und Blutkrankheiten. Springer, Berlin-Heidelberg-New York 1970.

    Chapter  Google Scholar 

  • Heilmeyer, L., Plötner, K.: Das Serumeisen und die Eisenmangelkrankheit. Fischer, Jena 1937.

    Google Scholar 

  • Heilmeyer, L., Wöhler, F.: Über die Entgiftungsfunktion des Speichereisens. I. Klin. Wschr. 39, 563 (1961).

    Article  CAS  Google Scholar 

  • Heilmeyer, L., Keiderling, W., Stüwe, G.: Kupfer und Eisen als körpereigene Wirkstoffe und ihre Bedeutung beim Krankheitsgeschehen. Fischer, Jena 1941.

    Google Scholar 

  • Heilmeyer, L., Keiderling, W., Wöhler, F.: Der Eisenstoffwechsel beim Infekt und die Entgiftungs-funktion des Speichereisens. Dtsch. med. Wschr. 83, 1965 (1958).

    Article  PubMed  CAS  Google Scholar 

  • Hershko, C. et al.: Storage iron kinetics. VI. The effect of inflammation on iron exchange in the rat. Brit. J. Haemat. 28, 67 (1974).

    Article  PubMed  CAS  Google Scholar 

  • Hirvonen, M.: Untersuchungen über den Serumeisengehalt bei einigen gewöhnlichen Infektionskrank-heiten. Acta med. scand. 106, 495 (1941).

    Article  CAS  Google Scholar 

  • Hollingsworth, J. W., Hollingsworth, D. R.: Study of total red cell volume and erythrocyte survival using radioactive chromium in patients with advanced pulmonary tuberculosis. Ann. intern. Med. 42, 810 (1955).

    PubMed  CAS  Google Scholar 

  • Holly, R. G.: Intravenous iron: Evaluation of use of saccharated iron oxide in iron deficiency states in obstetrics and gynecology. Blood 6, 1159 (1951).

    PubMed  CAS  Google Scholar 

  • Hutchinson, H. G., Lowther, C. P., Alexander, W. D.: On the appearance in the marrow of iron administered intravenously. J. clin. Path. 7, 281 (1954).

    Article  Google Scholar 

  • Jacobs, A., Worwood, M.: Ferritin: clinical aspects. In: Kief, H. (ed.): Iron Metabolism and its Disorders, p. 90. Excerpta Medica, Amsterdam-Oxford; American Elsevier, New York 1975.

    Google Scholar 

  • Janoff, A.: The role of iron in macrophages. J. theor. Biol. 7, 168 (1964).

    Article  CAS  Google Scholar 

  • Jeffrey, M. R.: Some observations on anemia in rheumatoid arthritis. Blood 8, 502 (1953).

    PubMed  CAS  Google Scholar 

  • Kampschmidt, R. F., Schultz, G. A.: Hypoferremia in rats following injection of bacterial endotoxin. Proc. Soc. exp. Biol. Med. 106, 870 (1961)

    PubMed  CAS  Google Scholar 

  • Kampschmidt, R. F., Schultz, G. A.: Hypoferremia in rats following injection of bacterial endotoxin. Proc. Soc. exp. Biol. Med. 110, 191 (1962)

    PubMed  CAS  Google Scholar 

  • Kampschmidt, R. F., Schultz, G. A.: Hypoferremia in rats following injection of bacterial endotoxin. Proc. Soc. exp. Biol. Med. 113, 142 (1963)

    Google Scholar 

  • Kampschmidt, R. F., Schultz, G. A.: Hypoferremia in rats following injection of bacterial endotoxin. Proc. Soc. exp. Biol. Med. 116, 420 (1964)

    PubMed  CAS  Google Scholar 

  • Kampschmidt, R. F., Schultz, G. A.: Hypoferremia in rats following injection of bacterial endotoxin. Amer. J. Physiol. 208, 68 (1965).

    PubMed  CAS  Google Scholar 

  • Keiderling, W., Scharpf, H.: Über die klinische Bedeutung der Serumkupfer- und Serumeisenbestimmung bei neoplastischen Krankheitszuständen. Münch. med. Wschr. 95, 437 (1953).

    CAS  Google Scholar 

  • Keiderling, W., Schmidt, H. A. E.: Die infektiöse und neoplastische Eisenstoffwechselstörung. In: Keiderling, W. (ed.): Eisenstoffwechsel. Thieme, Stuttgart 1959.

    Google Scholar 

  • Keiderling, W., Lee, M., Schmidt, H. A. E.: Über die Dynamik des Eisenstoffwechels und seine Beeinflussung durch entzündliche Reize. Verh. dtsch. Ges. inn. Med. 62, 356 (1956).

    Google Scholar 

  • Keiderling, W., Schmidt, H. A. E., Lee, M.: Untersuchungen über die Infektanämie mit Radioeisen und Radiochrom. 5. Europäischer Hämatologen-Kongreß, 1955.

    Google Scholar 

  • Keiderling, W., Schmidt, H. A. E., Lee, M.: Untersuchungen über die Dynamik des Erythrozytenum- satzes mit Radioeisen (Fe59) und Radiochrom (Cr51). In: Radioaktive Isotope in Klinik und Forschung Vol. 2, p. 24. Urban und Schwarzenberg, München-Berlin 1956.

    Google Scholar 

  • Konijn, A. M., Hershko, C.: Ferritin synthesis in inflammation. I. Pathogenesis of impaired iron release. Brit. J. Haemat. 37, 7 (1977).

    PubMed  CAS  Google Scholar 

  • Kubaner, B.: Konservative Behandlung der Infekt- und Tumoranämie. Dtsch. med. Wschr. 104, 238 (1979).

    Article  Google Scholar 

  • Kurnick, J. E., Ward, H. P., Pickett, J. C.: Mechanism of the anemia of chronic disorders. Correlation of hematocrit value with albumin, vitamin B12, transferrin, and iron stores. Arch, intern. Med. 130, 323 (1972).

    Article  CAS  Google Scholar 

  • Laurell, C. B.: Studies on the transportation and metabolism of iron in the body. Acta physiol. scand. 14, Suppl. 46, 1 (1947).

    Google Scholar 

  • Laurell, C. B.: Plasma iron and the transport of iron in the organism. Pharmacol. Rev. 4, 371 (1952).

    PubMed  CAS  Google Scholar 

  • Locke, A., Main, E. R., Rosbash, D. O.: The copper and non-hemoglobinous iron contents of the blood serum in disease. J. clin. Invest. 11, 527 (1932).

    Article  PubMed  CAS  Google Scholar 

  • Lukens, J. N.: Control of erythropoiesis in rats with adjuvant-induced chronic inflammation. Blood 41, 37 (1973).

    PubMed  CAS  Google Scholar 

  • Marti, H. R.: Infektanämien. Schweiz, med. Wschr. 98, 311 (1968).

    Google Scholar 

  • Merker, H.: Cytochemie der Blutzellen. In: Heilmeyer, L., Begemann, H. (eds.): Blut und Blutkrankheiten. Vol. 1. Springer, Berlin-Heidelberg-New York 1970.

    Google Scholar 

  • Rath, C. R., Finch, C. A.: Measurement of iron binding capacity of serum in man. J. clin. Invest. 28, 79 (1949).

    Article  CAS  Google Scholar 

  • Roberts, F. D., Hagedorn, A. B., Slocumb, C. H., Owen, C. A.: Evaluation of the anemia of rheumatoid arthritis. Blood 21, 470 (1963).

    PubMed  CAS  Google Scholar 

  • Roy, L. M. H., Alexander, W. R. M., Duthie, J. J. R.: Nature of anemia in rheumatoid arthritis. I. Metabolism of iron. Ann. rheum. Dis. 14, 63 (1955).

    Article  PubMed  CAS  Google Scholar 

  • Schade, S. G.: Normal incorporation of iron into intestinal ferritin in inflammation. Proc. Soc. exp. Biol. (Med.) 139, 620 (1972).

    CAS  Google Scholar 

  • Schäfer, K. H.: Untersuchungen über den exogenen Eisenstoffwechsel bei fieberhaften Infekten im Kindesalter. Klin. Wschr. 1940, 979.

    Google Scholar 

  • Schäfer, K. H.: Über den Einfluß von Infektionen und ähnlichen Vorgängen auf den Eisenstoffwechsel. I. Z. exper. Med. 110, 678 (1942).

    Article  Google Scholar 

  • Schäfer, K. H.: Einfluß allergischer Vorgänge auf das Serumeisen. Mschr. Kinderheilk. 96, 18 (1948).

    Google Scholar 

  • Schäfer, K. H.: Der Eisenstoffwechsel des wachsenden Organismus. Ergebn. inn. Med. Kinderheilk. N. F. 4, 706 (1953).

    Google Scholar 

  • Scott, J. M., Govan, A. D. T.: Anaemia of pregnancy treated with intramuscular iron. Brit. med. J. 2, 1257 (1954).

    Article  PubMed  CAS  Google Scholar 

  • Skouge, E.: Klinische und experimentelle Untersuchungen über das Serumeisen. Oslo 1939.

    Google Scholar 

  • Slack, H. G. B., Wilkinson, J. F.: Intravenous treatment of anaemia with iron-sucrose preparation. Lanceti, 11, 163(1949).

    Article  Google Scholar 

  • Snick, J., Masson, P. L., Heremans, J. F.: The affinity of lactoferrin for the RES as the molecular basis for the hyposideraemia of inflammation. In: Chrichton, R. R. (ed.): Proteins of Iron Storage and Transport in Biochemistry and Medicine. North-Holland, Amsterdam 1975.

    Google Scholar 

  • Thedering, F., Gross, R.: Fortschritte mit der intravenösen Eisentherapie. Z. ges. inn. Med. 4, 634 (1949).

    Google Scholar 

  • Thoenes, F.: Physiologie und Pathologie des Eisenstoffwechsels im Wachstumsalter. Dtsch. Z. Verdau.- u. Stoffwechselkr. 4, 209 (1941).

    CAS  Google Scholar 

  • Thomas, W. J. et al.: Free erythrocyte porphyrin: hemoglobin ratios, serum ferritin, and transferrin saturation levels during treatment of infants with iron-deficiency anemia. Blood 49, 455 (1977).

    PubMed  CAS  Google Scholar 

  • Torrance, J. D., Charlton, R. W., Simon, M. O., Lynch, S. R., Bothwell, T. H.: The mechanism of endotoxin-induced hypoferraemia. Scand. J. Haemat. 21, 403 (1978).

    Article  PubMed  CAS  Google Scholar 

  • Umeda, T.: Transferrin metabolism in infection. J. Kyushu Hematological Society 15, 153 (1965).

    Google Scholar 

  • Vahlquist, B. C.: Das Serumeisen. Acta paediat. 28, 1 (1941).

    Article  Google Scholar 

  • Ward, H. P. et al.: Serum level of erythropoietin in anemias associated with chronic infection, malignancy and primary hematopoietic disease. J. clin. Invest. 50, 332 (1971).

    Article  PubMed  CAS  Google Scholar 

  • Weinberg, E. D.: Roles of iron in host-parasite interactions. J. infect. Dis. 124, 401 (1971).

    Article  PubMed  CAS  Google Scholar 

  • Weinstein, I. M.: A correlative study of the erythrokinetics and disturbances in iron metabolism associated with the anemia of rheumatoid arthritis. Blood 14, 950 (1959).

    PubMed  CAS  Google Scholar 

  • Weissbecker, L.: Die Kobalttherapie. Dtsch. med. Wschr. 75, 116 (1950).

    Article  Google Scholar 

  • Wintrobe, M. M.: Clinical Hematology. Lea and Febiger, Philadelphia 1967, 1975.

    Google Scholar 

  • Wintrobe, M. M. et al.: The anemia of infection; uptake of radioiron in iron-deficient and in pyridoxine-deficient pigs before and after acute inflammation. J. clin. Invest 26, 103 (1947).

    Article  CAS  Google Scholar 

  • Wintrobe, M. M. et al.: The anemia of infection. J. clin. Invest. 26, 114, 121 (1947)

    PubMed  CAS  Google Scholar 

  • Wintrobe, M. M. et al.: The anemia of infection. Blood 2, 323 (1947)

    PubMed  CAS  Google Scholar 

  • Wintrobe, M. M. et al.: The anemia of infection. Blood 27, 245 (1958)

    Google Scholar 

  • Wintrobe, M. M. et al.: The anemia of infection. J. Lab. clin. Med. 33, 532 (1948).

    PubMed  Google Scholar 

  • Wintrobe, M. M., Greenberg, G. R., Cartwright, G. E.: Pathogenesis of anemia of infection. Trans. Ass. Amer. Phycns 59, 110 (1947).

    Google Scholar 

  • Zucker, S., Lysik, R. M.: Anemia in cancer. In: Sutmick, A. I., Engström, P. F. (eds.): Oncologic Medicine, p. 261. University Park Press, Baltimore 1976.

    Google Scholar 

Download references

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1983 Akadémiai Kiadó, Budapest

About this chapter

Cite this chapter

Bernát, I. (1983). Anemia of Infection. In: Iron Metabolism. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-7308-1_19

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-7308-1_19

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4615-7310-4

  • Online ISBN: 978-1-4615-7308-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics